BPM1906
Permit #: M1906 Issued:
Completed:
Location: 1600 State St
Owner: Corner Retreat
Address: 1600 State St
Blair, NE 68008
Phone:
Section:
Subdivision:
Replacing 4 ton heat pump.
Township:
Contractors
Beebe Refrigeration, Htg. & NC, Inc.
Remarks
8/26/2009
Inspections Date
8/26/2009
8/26/2009
HOW
By
HOW
HOW
Blair Building Permit Detail
S tJ~ (:)
;;
8/19/2009
8/26/2009
Type: Mechanical Miscellaneous
Valuation:
Range:
Lot: 28,29,30
General Contractor
1. heat pump-final-ok-hw.
Mechanical Final
Final Inspection of Project
Permit Fee: 25
Issue Fee: 25
Deposit Amt.:
Receipt #:
Block: 15
Permit #
Issued
Pass
Pass
~t.{.
[]cCITY OF BLAIR
BUILDING INSPECTION REPORT
o WASHINGTON COUNTY
o OTHER
, .
~r/.,
),/,'
/-I'i ~'.
,/ " ,"./
c.,." L~"""-
,,{
f
LOCATION OF INSPECTION'
TIME INSPECTION REQUESTED'
NAME OF
DATE INSPECTION REQUESTED' I,';'
TYPE OF INSPECTION REQUESTED: 0 CONFERENCE
BUILDING: 0 FOOTING 0 DECK FOOTING 0 FRAMING 0 DRYWALL DPINAL 0 PARTIAL
COMMENTS: 'S" t:. :
UTILITIES: 0 SEWER TAP 0 SEWER 0
o PARTIAL
o STATUS CHECK
~,IED FAILED
~. 0
REMOTE 0 WATER SERVICE
PASSED FAILED
o 0
COMMENTS:
ELECTRICAL: 0 ROUGH INO FINAL 0 PERMANENT SERVICE 0 TEMPORARY SERVICE 0 PRECONNECT
o PARTIAL
PASSED FAILED
o 0
COMMENTS:
MECHANICAL: 0 ROUGH-IN 0 AlC 0 FURNACE 0 RADIANT HEAT
o PARTIAL
FAILED
o
COMMENTS:
PLUMBING: 0 GROUNDWORK 0 ROUGH-IN 0 FINAL 0 WATER METER INSTALLED 0 PARTIAL
o PRESSURE TEST
PASSED FAILED
o 0
COMMENTS:
o OCCUPANCY GRANTED 0 CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
INSPECTOR'
~PM+
DATE OF INSPECTION MADE:
~. 'J-b~b9
TlMP' 10.: ~
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
oj
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date: cJ'... / 9- tJ 1
Job Address
Heat Pump t.f Tons
Central AlC Tons
Furnace BTU/H
# of Units AlC
Furnace
Completion Date: 8- ;;? t/- t) 'l
Boiler Chart
BTU Fee
Up to 100,000........................ ..... ...$15.00
100,000-500,000.................. ......... ...$30.00
500,000-1;000,000............ ..... .......... $40.00
1,000,000-1,750,000... ................. .. ..$60.00
Over 1,750,000.................... ....... ...$100.00
Notice
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions oflaws and ordinances governing this type of
work will be complied with whether specified herein or
not. The granting of a permit does not presume to give
authority to violate or cancel the provisions of any other
state or local law regulating construction or the
performance of construction.
Signature of Contractor or Authorized Agent
Date
- .,....-- -
c ,_ _.". ___
;t\'I190(i
Zip
Zip
Phone
o Repair 0 Replacement
t:f~ t-
:ANICAL PERMIT FEES
Furnace/Heat Pump/Air Conditioner (Per Unit)
Up to and including 100,000 BTU / 3 Ton.. ......... .............. ...$15.00
Furnace/Heat Pump/Air Conditioner (Per Unit) d 6' .06
Over 100,000 BTU /3 Ton.......................................... ...$25.00
Refrigeration Units/Coolers/Lines/Compressor - Commercial
(New or Replacement) (Per Unit)
................................................... ....................... ....$15.00
Boiler (use BTU Chart to left)... ...... ... ........
Appliance Vent/Fans... ...... .., ......... ...$10.00
Duct System................................ ..$15.00
Gas/Air Outlets.................First 5
x $6.00
.. . ... ...Additional
x $1.00
Radiant Heat Systems/Gas/Water
Piping System............ ... ......... ...... ..$50.00
Modular Home...... ... ......... ... ... ... .... $50.00
Permit Issuance Fee... ......... '" ... ........$25.00
Total
d5~6
Ot)
Current License on File ~ Yes 0 No 0 Nj A
commen:r~ dJi"" fI--t I -' 09
WHEN PROPERL Y V ALIDA TED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: 3- fJJ:I ~t--..I
I
Rev. 2008-10
~~,
BUILDING INSPECTION REPORT
1:3' CITY OF BLAIR
LOCATION OF INSPECTION'
J'/;;':~; ,<:;) t:::::>
D W ASHlNGTON COUNTY
NAME OF OWNER' I,', ,.", /(,.../ ; i,>:r>'"
DATE INSPECTION REQUESTED' "
TIME INSPECTION REQUESTED'
/' Iff!' /1
TYPE OF INSPECTION REQUESTED: D CONFERENCE
BUILDING: D FOOTING D DECK FOOTING D FRAMING D DRYWALL LJPrNAL D PARTIAL
D STATUS CHECK
COMMENTS:
UTILITIES: D SEWER TAP
D PARTIAL
~ED FAILED
/tt' D
D WATER SERVICE
PASSED FAILED
D D
COMMENTS:
ELECTRICAL: D ROUGH IN D FINAL D PERMANENT SERVICE D TEMPORARY SERVICE D PRECONNECT
D PARTIAL
PASSED FAILED
D D
COMMENTS:
COMMENTS:
PLUMBING: D GROUNDWORK D ROUGH-IN D FINAL D WATERMETERINSTALLED D PARTIAL
D PRESSURE TEST
FAILED
D
MECHANICAL:D ROUGH-IN D A/C D FURNACE D RADIANT HEAT :~FiNAL D PARTIAL
PASSED FAILED
D D
COMMENTS:
D OCCUPANCY GRANTED D CONDITIONAL OCCUPANCY GRANTED
NOTES/REMARKS'
INSPECTOR'
~~+
DATE OF INSPECTION MADE:
~. 'J-b~b9
TIMF.' 'O.~ ~
FAXED OPPD\BURT REA
TO CONNECT SERVICE: ON
BY
ENro SEP () 4: 2009
MECHANICAL PERMIT APPLICATION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195 M 1906
(402) 426-4191
Qj
Application Date: Cl~ / 9 - 0 1
Job Address
5) IJ Permit Fee: $ Q2;,
<Z.V''L IS;; pC! I
89tfo L/-;:I/# 5/
Zip Phone
00
f... Mail Address
. (.If! af
Mail Address
c~h->
CIAL 0 RESIDENTIAL
. Ion
Heat Pump l/ Tons
Central AlC Tons
Furnace BTU/H
# of Units AlC
Furnace
Completion Date: g- #? tl- 0 9
Boiler Chart
BTU Fee
Up to 100,000.............................. ..$15.00
100,000-590,000............ ... ... .......... ..$30.00
500,000-1,000,000.................. ........ .$40.00
1,000,000-1,750,000...... ...... ........ .. ..$60.00
Over 1,750,000.................... ...... ....$100.00
Notice
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or
not. The granting of a permit does not presume to give
authority to violate or cancel the provisions of any other
state or local law regulating construction or the
performance of construction.
Zip
Phone
o New
o Addition
o Alteration 0 Repair 0 Replacement
Furnace/Heat Pump/Air Conditioner (Per Unit)
Up to and including 100,000 BTU / 3Ton............................$15.00
Furnace/Heat Pump/Air Conditioner (Per Unit) ;;? 6' .t)o
Over 100,000 BTU / 3 Ton.......................................... ...$25.00
Refrigeration Units/Coolers/Lines/Compressor - Commercial
(New or Replacement) (Per Unit)
............................................................................ ..$15.00
Boiler (use BTU Chart to left).............. ... ...
Appliance Vent/Fans...... ... ... ...... ......$10.00
Duct System. . . .. . .. . .. . .. . .. . . . . . .. . .. .. . .. .. $15.00
Gas/Air Outlets.................First 5
x $6.00
. . . . . . .. .Additional
x $1.00
Radiant Heat Systems/Gas/Water
Piping System.......................... ... ...$50.00
Modular Home............................... $50.00
Permit Issuance Fee... ...... ... ..............$25.00 c::?5 00
Total L-). O()
Current License on File I~ Yes 0 No 0 NjA
Comment: . . .......
~~ dJ-t 8.'"[; i "' 09
WHEN PRO PERL Y VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By:. 'J)..iJ I
CD < Li" d/~~
?/2~1-.c)Ll
Date
I
Rev. 2008-10
~
MECHANICAL EW~&ft:l~PLICA TION
Jurisdiction of City of Blair, Nebraska
218 South 16th Street
Blair, Nebraska 68008
Fax (402) 426-4195
(402) 426-4191
Application Date:
1/-- ;lit; -() 9
Job Address
Permit Fee: $
M 1887
LftJ / Of)
/3#t J*
'f. Z~.e
Zip
o New 0 Addition 0 Alteration 0 Repair 0 Replacement
/~ 6' Itlh 4 C?:
MECHANICAL PERMIT FEES
Current License on File fYes 0 No 0 NjA
Comment: Af Jr.,Y.':,.,...:> a
auJ (;;r;>> C JJ tJ-00 ~~ ~&"' z,q /() I
WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT
I Approved By: <8, ?J/~
,
Heat Pump Tons
Central AlC /. <5 Tons
Furnace BTU/H
# of Units AlC
Furnace
Completion Date:
Boiler Chart
BTU Fee
Up to 100,000........................ ..... ...$15.00
100,000-500,000................. ........... ..$30.00
500,000-1,000,000... ............... ......... $40.00
1,000,000-1,750,000......... ........... ... .$60.00
Over 1,750,000.................... ....... ...$100.00
Notice
I hereby certify that I have read and examined this
application and know the same to be true and correct. All
provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or
not. The granting of a permit does not presume to give
authority to violate or cancel the provisions of any other
state or local law regulating construction or the
performance of construction.
Date
Furnace/Heat Pump/Air Conditioner (Per Unit) / 5, (/0
Up to and including 100,000 BTU / 3Ton......................... ...$15.00
Furnace/Heat Pump/Air Conditioner (Per Unit)
Over 100,000 BTU / 3 Ton.......................................... ...$25.00
Refrigeration Units/Coolers/Lines/Compressor - Commercial
(New or Replacement) (Per Unit)
. .. .. . .. . . . . .. . . .. . .. .. . .. . . . . . . . .. . . .. .. . .. . . .. .. . . .. .. . . . .. . . . . . . . .. .. . . .. .. $15.00
Boiler (use BTU Chart to left)...... ... .... .......
Appliance Vent/Fans.................... ....$10.00
Duct System... ... ... ......... ... ......... ....$15.00
Gas/Air Outlets.................First 5
x $6.00
...... ...Additional
x $1.00
Radiant Heat Systems/Gas/Water
Piping System... ...... ................. ... ...$50.00
Modular Home...... ......... ... ......... .... $50.00
Permit Issuance Fee... ... ... ... ... ... ........ $25.00
Total
:2 5' 0'00
.00
I
Rev. 2008-10